| NPI | 1972134013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 48030) |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 47455) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: TX 47782) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2023-09-29 |